TEST BANK Pediatric Success: NCLEX®-Style
Q&A Review Davis's Success Series – Beth
Richardson, PhD, RN, CPNP, FAANP
Total Questions: 200
Question Types: Multiple Choice, Select All That Apply (SATA), Ordered Response,
Fill-in-the-Blank, Chart/Exhibit
Features: Rationales for correct and incorrect answers, test-taking hints
CHAPTER 1 – GROWTH AND DEVELOPMENT
1. The mother of a 2-year-old boy expresses concern that her son is not yet toilet trained. Which
response by the nurse is most appropriate?
- A) "He should be trained by 18 months; you should start a training program immediately."
- B) "Toilet training readiness typically occurs between 18 and 30 months. Let's assess his
readiness cues."
- C) "Boys usually train later than girls; don't worry until he is 4 years old."
- D) "You should use a reward system to encourage him to use the potty."
Answer: B
Rationale: Toilet training readiness typically occurs between 18 and 30 months of age.
Readiness cues include staying dry for 2 hours, expressing interest, and being able to follow
simple directions. The nurse should assess readiness before recommending training. Option A
is incorrect because 18 months is too early to expect training. Option C provides false
reassurance. Option D may be appropriate once readiness is established but is not the first
step.
2. A 4-year-old child is admitted to the hospital. Which activity would the nurse expect the child
to enjoy most?
- A) Playing a board game with rules
- B) Building with large blocks
- C) Reading a chapter book
- D) Playing video games independently
Answer: B
,Rationale: Preschoolers (ages 3-5) engage in associative play and enjoy building, drawing, and
imaginative play. They are developing fine motor skills but are not yet ready for complex
rule-based games (Option A), which are more appropriate for school-age children. Chapter
books (Option C) are for older children. Video games independently (Option D) are not
developmentally appropriate.
3. The nurse is assessing a 6-month-old infant during a well-child visit. Which developmental
milestone would the nurse expect to observe?
- A) Sitting without support
- B) Rolling from back to front
- C) Walking with assistance
- D) Saying "mama" and "dada" with meaning
Answer: B
Rationale: By 6 months, infants typically can roll from back to front and front to back. Sitting
without support (Option A) usually occurs around 8 months. Walking with assistance (Option C)
occurs around 12 months. Saying "mama" and "dada" with meaning (Option D) occurs around
10-12 months.
4. The parents of a 15-month-old toddler ask the nurse what type of play is most appropriate for
their child. Which response by the nurse is best?
- A) "Your child would enjoy playing with a group of other toddlers."
- B) "Solitary play with a push-pull toy is developmentally appropriate."
- C) "Cooperative play with board games would be best."
- D) "Your child should be able to share toys with others."
Answer: B
Rationale: Toddlers engage in solitary and parallel play. Push-pull toys are developmentally
appropriate for 15-month-olds as they are learning to walk. Group play (Option A) and
cooperative play (Option C) are characteristic of older children. Sharing (Option D) is a skill that
develops later in the preschool years.
5. The nurse is educating a group of parents about the developmental milestones of a
4-year-old. Which statement by a parent indicates a need for further teaching?
- A) "My child can hop on one foot."
- B) "My child can draw a circle."
- C) "My child can brush their teeth independently."
- D) "My child can tie their shoes."
,Answer: D
Rationale: Tying shoes is a fine motor skill typically achieved at 6-7 years of age, not at 4 years.
A 4-year-old can hop on one foot (Option A), draw a circle (Option B), and brush teeth with
supervision (Option C).
6. The nurse is assessing a 12-month-old infant. Which finding would be a cause for concern?
- A) The infant does not walk independently.
- B) The infant does not say "mama" or "dada" specifically.
- C) The infant does not have a pincer grasp.
- D) The infant does not wave "bye-bye."
Answer: C
Rationale: By 12 months, infants should have developed a pincer grasp (ability to pick up small
objects with thumb and forefinger). Lack of this skill may indicate a developmental delay.
Walking independently (Option A) may not occur until 15 months. Saying "mama" and "dada"
specifically (Option B) and waving "bye-bye" (Option D) may emerge as late as 12-15 months.
7. A 9-year-old child is hospitalized for a chronic illness. Which developmental task is most
important for the nurse to support?
- A) Developing a sense of industry
- B) Developing a sense of autonomy
- C) Developing a sense of trust
- D) Developing a sense of identity
Answer: A
Rationale: According to Erikson, school-age children (6-12 years) are in the stage of industry vs.
inferiority. They need to develop a sense of competence and achievement. Autonomy (Option B)
is the task of toddlers. Trust (Option C) is the task of infants. Identity (Option D) is the task of
adolescents.
8. The nurse is educating the parents of a 2-year-old about expected language development.
Which statement by the parents indicates understanding?
- A) "Our child should be speaking in complete sentences by now."
- B) "Our child should have a vocabulary of about 50 words and use two-word phrases."
- C) "Our child should be able to tell a story."
- D) "Our child should be able to recite the alphabet."
, Answer: B
Rationale: A 2-year-old typically has a vocabulary of about 50 words and begins combining
words into two-word phrases. Complete sentences (Option A) are typical of 3-4 year olds.
Telling a story (Option C) and reciting the alphabet (Option D) are skills of older children.
9. The nurse is assessing a 7-year-old child. Which fine motor skill would the nurse expect the
child to have achieved?
- A) Tying shoelaces
- B) Printing name clearly
- C) Using scissors to cut out shapes
- D) All of the above
Answer: D
Rationale: By age 7, school-age children have developed fine motor skills including tying
shoelaces, printing names clearly, and using scissors to cut out shapes.
10. The parents of a 16-year-old adolescent express concern about their child's mood swings.
Which response by the nurse is most appropriate?
- A) "Mood swings are a normal part of adolescent development due to hormonal changes."
- B) "Your child may have a mental health disorder and should see a psychiatrist."
- C) "Mood swings indicate a lack of discipline."
- D) "Your child is probably using drugs."
Answer: A
Rationale: Mood swings are a normal part of adolescent development due to hormonal
changes, brain development, and the psychosocial challenges of identity formation. While
mental health disorders (Option B) should be considered if symptoms are severe or persistent,
the nurse should not jump to that conclusion. Options C and D are judgmental and
inappropriate.
11. The nurse is assessing the gross motor skills of a 3-year-old child. Which finding is
expected?
- A) The child can stand on one foot for 5 seconds.
- B) The child can walk up stairs with alternating feet.
- C) The child can hop on one foot.
- D) The child can pedal a tricycle.
Answer: D
Q&A Review Davis's Success Series – Beth
Richardson, PhD, RN, CPNP, FAANP
Total Questions: 200
Question Types: Multiple Choice, Select All That Apply (SATA), Ordered Response,
Fill-in-the-Blank, Chart/Exhibit
Features: Rationales for correct and incorrect answers, test-taking hints
CHAPTER 1 – GROWTH AND DEVELOPMENT
1. The mother of a 2-year-old boy expresses concern that her son is not yet toilet trained. Which
response by the nurse is most appropriate?
- A) "He should be trained by 18 months; you should start a training program immediately."
- B) "Toilet training readiness typically occurs between 18 and 30 months. Let's assess his
readiness cues."
- C) "Boys usually train later than girls; don't worry until he is 4 years old."
- D) "You should use a reward system to encourage him to use the potty."
Answer: B
Rationale: Toilet training readiness typically occurs between 18 and 30 months of age.
Readiness cues include staying dry for 2 hours, expressing interest, and being able to follow
simple directions. The nurse should assess readiness before recommending training. Option A
is incorrect because 18 months is too early to expect training. Option C provides false
reassurance. Option D may be appropriate once readiness is established but is not the first
step.
2. A 4-year-old child is admitted to the hospital. Which activity would the nurse expect the child
to enjoy most?
- A) Playing a board game with rules
- B) Building with large blocks
- C) Reading a chapter book
- D) Playing video games independently
Answer: B
,Rationale: Preschoolers (ages 3-5) engage in associative play and enjoy building, drawing, and
imaginative play. They are developing fine motor skills but are not yet ready for complex
rule-based games (Option A), which are more appropriate for school-age children. Chapter
books (Option C) are for older children. Video games independently (Option D) are not
developmentally appropriate.
3. The nurse is assessing a 6-month-old infant during a well-child visit. Which developmental
milestone would the nurse expect to observe?
- A) Sitting without support
- B) Rolling from back to front
- C) Walking with assistance
- D) Saying "mama" and "dada" with meaning
Answer: B
Rationale: By 6 months, infants typically can roll from back to front and front to back. Sitting
without support (Option A) usually occurs around 8 months. Walking with assistance (Option C)
occurs around 12 months. Saying "mama" and "dada" with meaning (Option D) occurs around
10-12 months.
4. The parents of a 15-month-old toddler ask the nurse what type of play is most appropriate for
their child. Which response by the nurse is best?
- A) "Your child would enjoy playing with a group of other toddlers."
- B) "Solitary play with a push-pull toy is developmentally appropriate."
- C) "Cooperative play with board games would be best."
- D) "Your child should be able to share toys with others."
Answer: B
Rationale: Toddlers engage in solitary and parallel play. Push-pull toys are developmentally
appropriate for 15-month-olds as they are learning to walk. Group play (Option A) and
cooperative play (Option C) are characteristic of older children. Sharing (Option D) is a skill that
develops later in the preschool years.
5. The nurse is educating a group of parents about the developmental milestones of a
4-year-old. Which statement by a parent indicates a need for further teaching?
- A) "My child can hop on one foot."
- B) "My child can draw a circle."
- C) "My child can brush their teeth independently."
- D) "My child can tie their shoes."
,Answer: D
Rationale: Tying shoes is a fine motor skill typically achieved at 6-7 years of age, not at 4 years.
A 4-year-old can hop on one foot (Option A), draw a circle (Option B), and brush teeth with
supervision (Option C).
6. The nurse is assessing a 12-month-old infant. Which finding would be a cause for concern?
- A) The infant does not walk independently.
- B) The infant does not say "mama" or "dada" specifically.
- C) The infant does not have a pincer grasp.
- D) The infant does not wave "bye-bye."
Answer: C
Rationale: By 12 months, infants should have developed a pincer grasp (ability to pick up small
objects with thumb and forefinger). Lack of this skill may indicate a developmental delay.
Walking independently (Option A) may not occur until 15 months. Saying "mama" and "dada"
specifically (Option B) and waving "bye-bye" (Option D) may emerge as late as 12-15 months.
7. A 9-year-old child is hospitalized for a chronic illness. Which developmental task is most
important for the nurse to support?
- A) Developing a sense of industry
- B) Developing a sense of autonomy
- C) Developing a sense of trust
- D) Developing a sense of identity
Answer: A
Rationale: According to Erikson, school-age children (6-12 years) are in the stage of industry vs.
inferiority. They need to develop a sense of competence and achievement. Autonomy (Option B)
is the task of toddlers. Trust (Option C) is the task of infants. Identity (Option D) is the task of
adolescents.
8. The nurse is educating the parents of a 2-year-old about expected language development.
Which statement by the parents indicates understanding?
- A) "Our child should be speaking in complete sentences by now."
- B) "Our child should have a vocabulary of about 50 words and use two-word phrases."
- C) "Our child should be able to tell a story."
- D) "Our child should be able to recite the alphabet."
, Answer: B
Rationale: A 2-year-old typically has a vocabulary of about 50 words and begins combining
words into two-word phrases. Complete sentences (Option A) are typical of 3-4 year olds.
Telling a story (Option C) and reciting the alphabet (Option D) are skills of older children.
9. The nurse is assessing a 7-year-old child. Which fine motor skill would the nurse expect the
child to have achieved?
- A) Tying shoelaces
- B) Printing name clearly
- C) Using scissors to cut out shapes
- D) All of the above
Answer: D
Rationale: By age 7, school-age children have developed fine motor skills including tying
shoelaces, printing names clearly, and using scissors to cut out shapes.
10. The parents of a 16-year-old adolescent express concern about their child's mood swings.
Which response by the nurse is most appropriate?
- A) "Mood swings are a normal part of adolescent development due to hormonal changes."
- B) "Your child may have a mental health disorder and should see a psychiatrist."
- C) "Mood swings indicate a lack of discipline."
- D) "Your child is probably using drugs."
Answer: A
Rationale: Mood swings are a normal part of adolescent development due to hormonal
changes, brain development, and the psychosocial challenges of identity formation. While
mental health disorders (Option B) should be considered if symptoms are severe or persistent,
the nurse should not jump to that conclusion. Options C and D are judgmental and
inappropriate.
11. The nurse is assessing the gross motor skills of a 3-year-old child. Which finding is
expected?
- A) The child can stand on one foot for 5 seconds.
- B) The child can walk up stairs with alternating feet.
- C) The child can hop on one foot.
- D) The child can pedal a tricycle.
Answer: D
